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Update on Irritable Bowel Syndrome Program of Research

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Author(s)
Margaret HeitkemperMonica JarrettJun, Sang-Eun
Keimyung Author(s)
Jun, Sang Eun
Department
Dept. of Nursing (간호학)
Journal Title
대한간호학회지
Issued Date
2013
Volume
43
Issue
5
Keyword
Irritable bowel syndromeAdultsEtiologyDiagnosisTreatment
Abstract
Purpose: This article provides an update and overview of a nursing research program focused on understanding the
pathophysiology and management of irritable bowel syndrome (IBS). Methods: This review includes English language papers
from the United States, Europe, and Asia (e.g., South Korea) from 1999 to 2013. We addressed IBS as a health problem,
emerging etiologies, diagnostic and treatment approaches and the importance of a biopsychosocial model. Results: IBS is a
chronic, functional gastrointestinal disorder characterized by recurrent episodes of abdominal pain and alterations in bowel
habit (diarrhea, constipation, mixed). It is a condition for which adults, particularly women ages 20-45, seek health care services
in both the United States and South Korea. Clinically, nurses play key roles in symptom prevention and management including
designing and implementing approaches to enhance the patients’ self-management strategies. Multiple mechanisms
are believed to participate in the development and maintenance of IBS symptoms including autonomic nervous system dysregulation,
intestinal inflammation, intestinal dysbiosis, dietary intolerances, alterations in emotion regulation, heightened visceral
pain sensitivity, hypothalamic-pituitary-adrenal dysregulation, and dysmotility. Because IBS tends to occur in families,
genetic factors may also contribute to the pathophysiology. Patients with IBS often report a number of co-morbid disorders
and/or symptoms including poor sleep. Conclusion: The key to planning effective management strategies is to understand
the heterogeneity of this disorder. Interventions for IBS include non-pharmacological strategies such as cognitive behavior
therapy, relaxation strategies, and exclusion diets.
Keimyung Author(s)(Kor)
전상은
Publisher
College of Nursing
Citation
Margaret Heitkemper et al. (2013). Update on Irritable Bowel Syndrome Program of Research. 대한간호학회지, 43(5), 579–586. doi: 10.4040/jkan.2013.43.5.579
Type
Article
ISSN
2005-3673
DOI
10.4040/jkan.2013.43.5.579
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34068
Appears in Collections:
2. College of Nursing (간호대학) > Dept. of Nursing (간호학)
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